Organization Active NPI

County of Clear Creek

Doing business as Clear Creek County Public and Environmental Health

  • Public Health or Welfare Agency
  • Idaho Springs, CO
National Provider Identifier
1255470225
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF CLEAR CREEK
Doing business as
Clear Creek County Public and Environmental Health
Practice address
1969 Miner Street
Idaho Springs, CO 80452
Phone
(970) 409-2577
NPI assigned
Feb 6, 2007
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emily Kuper, APRNNPI 1669923843
Title
Nursing Supervisor
Phone
(970) 409-2577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1969 Miner Street
Idaho Springs, CO 80452

Mailing address

PO Box 3669
Idaho Springs, CO 80452-3669
Phone (303) 567-3147

Other identifiers 2

IdentifierTypeStateIssuer
04540209MedicaidCO
07382807MedicaidCO

Other names 1

  • Clear Creek County Public and Environmental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230317002622 CO Part B Supplier - Clinic/Group Practice 2466596515 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Springs, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Clear Creek County EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1255470225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3669",
            "city": "IDAHO SPRINGS",
            "state": "CO",
            "postal_code": "804523669",
            "telephone_number": "303-567-3147",
            "fax_number": "303-567-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 MINER STREET",
            "city": "IDAHO SPRINGS",
            "state": "CO",
            "postal_code": "80452",
            "telephone_number": "970-409-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLEAR CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "KUPER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "NURSING SUPERVISOR",
        "authorized_official_telephone_number": "970-409-2577",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04540209",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07382807",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Creek County Public and Environmental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.